Individual
TARA BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
65 FREMONT ST OFC 1, MARLBOROUGH, MA 01752-1271
(508) 485-3665
(508) 485-0899
Mailing address
65 FREMONT ST OFC 1, MARLBOROUGH, MA 01752-1271
(508) 485-3665
(508) 485-0899
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
290415
MA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
290415
MA
207XX0801X
Orthopaedic Trauma Physician
290415
MA
Other
Enumeration date
09/21/2020
Last updated
05/29/2024
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